Individual
DR. CHAD ROBERT STICKRATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400E BOULDER ST 3368, COLORADO SPRINGS, CO 80909-5533
(303) 957-6375
Mailing address
1400E BOULDER ST 3368, COLORADO SPRINGS, CO 80909-5533
(303) 957-6375
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46939
CO
208M00000X
Hospitalist Physician
DR.0046939
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029592
KAISER COMMERCIAL NUMBER
CO
Enumeration date
01/30/2007
Last updated
08/27/2024
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